Lifelong Health Benefits of Mandatory Genetic Screenings

   The Human Genome Project is the largest scientific endeavor undertaken since the Manhattan Project, and, as with the Manhattan Project, the completion of the Human Genome Project has brought to surface many moral and ethical issues concerning the use of the knowledge gained from the project. Although genetic tests for certain diseases have been available for 15 years (Ridley, 1999), the completion of the Human Genome Project will certainly lead to an exponential increase in the number of genetic tests available. Therefore, before genetic testing becomes a routine part of a visit to a doctor's office, the two main questions at the heart of the controversy surrounding genetic testing must be

It is patients’ right to opt for genetic testing on their own DNA, although they are accepting a great risk by doing so.

As you can see genetic testing is very important and can affect a child's and parents lives for the better and the worst. Children all over the world have serious genetic diseases that affect their life on a daily. Some of these diseases are Achondroplasia, Down syndrome, and Turner's syndrome. Many believe genetic testing is a good way to test for these genetic conditions before the child is even born, but others think that it can harm the baby very badly and even cause a miscarriage, so they choose not to do this kind of testing. Knowing about the most serious genetic diseases is very important for expecting parents to be informed as well as being

Genetic testing has brought about many changes in the way many couples look at conceiving and raising families. Through genetic testing you are able to screen for the increased chance that a fetus may have one of many congenital disorders, or even identify gene changes that are responsible for a disease that has already been diagnosed (Genetic Testing, March 2015). Unfortunately genetic testing is not always exact, in some cases giving parents false negatives or false positive results. Even if the results are accurate, there is the burden of knowledge once you know the results indicate a genetic abnormality such as Down’s syndrome. While caring for a 2 year old male patient with developmental delays and anotia, I learned that genetic testing had been started but never completed on the child. Genetic testing could help to identify genetic disorders that led to the child’s developmental delays and possible future disorders that may develop. The ethical dilemma I will be discussing to the ANA Ethical dilemma of the impact of informed consent of genetic testing on children for adult onset diseases and disorders.

There are two main ways genetic testing places a constraint on a child’s right to an open future. The first of these is that the revelation of a child’s disease status can change his life narrative and the way parents and others treat him, and substantially alter his or her life’s trajectory (Davis _____). Parents may feel guilty or shelter their not-yet-sick

Genetic testing, can affect a person’s life in many ways. Genetic testing is a type of medical testing that identifies changes that occur in chromosomes, proteins, and genes. These changes that occur can be associated, and often are associated with inherited

In Improvements in Prenatal Genetic Testing Raise Ethnic Issues, R. J. Crayton produced an article about prenatal testing and whether or not parents should be allowed to have these tests done. First the situation of a high risk baby who will have a disability or defect after birth, so the parents decide to abort the child is being viewed as an inequality to the disabled community. Secondly, certain adoptions are put on hold since the biological parents chose to not carry the unborn child through the entire pregnancy, however, the surrogate mother wants to carry the child through the entire term. Lastly, research shows that the results can be a false positive, so unintentionally the parents decide not to keep the unknown, but healthy baby.

As the number and availability of various genetic tests have grown, so too has a fear among Americans that their genetic information may be used for purposes other than curing or preventing diseases. This paper looks at the law Genetic Information Nondiscrimination Act passed in 2008 and how it influences the workplace and the health insurance practices.

If the genetic information is only accessible to the individual then there is a decreased chance of such discrimination occurring because the information is disclosed to who the individual wishes to. Genetic information can raise questions about personal responsibility, personal choice versus genetic determinism, and concepts of health and disease. Personal factors, family values, and community and cultural beliefs can mould the reactions to these issues. For example the response to the genetic information and suggestion from physicians after the test will be drastically different in a society where traditions and religion determine life choices, such as India, than to a more individually liberal society like the USA. Even in a progressive society that has had specific ethnic groups for multiple generations disparities with medical technology are common. A study conducted, using the national representative data, in the USA with the sample that consisted of 1724 men and women of non-Hispanic whites, Latinos, and African American background. Results exposed significant differences by racial/ethnic groups in knowledge and concerns about the potential misuse of genetic testing. Significantly higher levels of mistrust in a physician and the medical system was a common thread within minorities. The genetic tests can be a way of ridding anxiety attached to the assumed inheritance of genetic disease due to family background whilst for others the genetic test reveals their reality. The results can have a great deal of a psychological impact upon the individual. The possibility of developing a genetic disease alone can create anxiety within some. The psychological impact from the results revealed is another issue that society is concerned about. A

The Human Genome Project introduces significant scientific findings to the world, but raises a lot of controversies. Many of these controversies concern the application of this new scientific finding and its ethicality. Genetic information from a project, once aimed towards mapping the human genome in hope for curing diseases, are now being used in businesses. It shouldn’t be permissible for employers to require that all employees, as well as potential employees, be screened for genetic vulnerabilities and to use the results of such screening when they make hiring, retention, and job assignment decisions. These genetic vulnerabilities may include diseases, unsuitable personality traits and other traits the company deems undesirable. Employees shouldn’t be judged by their genes, because the results do not adequately speak for what the employees will do in life, the employee’s position in the society, and the employee’s financial standing. Genetic testing should be an option for the employees to decide on job assignment rather than influence the hiring decisions of employers. Genetic testing only shows genetic potential, not potential growth. Conducting genetic testings on employees infringes on their privacy and encourage more social gaps with genetic classes.

Although the gene chip will enable an individual to know whether he/she has a genetic disease, that person may not want to know the information. Many people are frightened that a positive finding on a genetic test will result in discrimination and ostracism because the society will consider them abnormal (Easthope 2005). The other concern is that with genetic test information one might lose or might be unable to get a job or insurance. There have been concerns that with the knowledge of one’s medical information after a gene test, he/she might suffer a psychological problem especially when the results reveal that one suffers from a terminal disease or has high possibility of suffering from one (Willis 2009).

I agree that a disadvantage to genetic testing may result in discrimination. After learning more about the Genetic Information Nondiscrimination Act of 2008, I find it interesting that the law not only restricts genetic information but also includes one’s individual and family medical history (NIH, 2014). The Genetic Information Nondiscrimination Act took effect in 2009, and also resulted in amendments to the Health Insurance Portability and Accountability Act in 2013, to clarify genetic information as health information (NIH, 2014). Another interesting fact regarding the Genetic Information Nondiscrimination Act is that it does not cover government based health insurers, such as military, veteran, or federal employee health benefits (NIH,

In this critique, I will be discussing my opinion on Mr. Pollard’s article about genetic screening. These genetic screening began in the 1960’s and since then they have found themselves in the middle of major controversy throughout the years (Press, 2008). Genetic screening a series of test performed when a mother is pregnant in order to figure out whether or not her child may have a developing disorder. Some genetic screening are also performed after the baby is born. Genetic screening can play a major role in personal parenting decisions and medical treatment if and when deemed necessary. Although genetic screening has much debate surrounding it, testing for any potential disorders and diseases can be live saving.

Speaking honestly about the benefits and limitations of genetic testing is vital in establishing a trusting patient-provider relationship. The severe socioeconomic consequences of employee and insurance discrimination can greatly impact a black woman’s motivation to invest in genetic testing. Although the federal law of 2008, Genetic Information Non-Discrimination Act (GINA) does exist, black women may not feel entirely protected

genetic testing, everything has changed. She notes that clinicians now have the ability to diagnose, treat, and monitor a patient’s illnesses or disease progression in an entirely different manner. This is a far cry from the old medical model of responding to a disease (or defect) only after it appears, and then prescribing the recommended medication or intervention. These genetic medical advances sound miraculous and promising, but the ability to test, screen and provide early intervention does not come without many major ethical dilemmas.